Endoscopic surgical clip applier

• US 9,364,240 B2
• Filed: 10/24/2013
• Issued: 06/14/2016
• Est. Priority Date: 10/08/2004
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Whitfield, Kenneth H., Sorrentino, Gregory
• Primary Examiner(s): Rodjom, Katherine
• Assistant Examiner(s): BACHMAN, LINDSEY MICHELE
• Application Number:
  US14/062,338
• Publication Number:
  US 20140052157A1
• Time in Patent Office: 964 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/12004 for haemostasis, for prevention of bleeding
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 90/08 Accessories or related features not otherwise provided for

Abstract

An apparatus for application of surgical clips to body tissue has a handle portion; a body extending distally from the handle portion; a plurality of surgical clips disposed within the body; and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position; an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion; and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.

Claims

1. An apparatus for applying surgical fasteners to body tissue, comprising:

an elongate body portion;

an actuation mechanism movable through the body portion;

a plurality of surgical fasteners disposed within the body portion;

a jaw assembly mounted adjacent a distal end of the body portion, and including first and second jaw portions, the jaw assembly being movable between a spaced apart position and an approximated position to form a surgical fastener positioned between the first and second jaw portions;

a camming mechanism extending from a distal end of the actuation mechanism, the camming mechanism including;

a slider; and

a driver positioned distally of the slider, the driver being movable in a distal direction toward the jaw assembly into engagement with the jaw assembly to move the jaw assembly into the approximated position, the slider being positioned between the actuation mechanism and the driver to operatively connect the actuation mechanism and the driver such that movement of the actuation mechanism facilitates corresponding movement of the slider and the driver; and

a wedge member positioned within the body portion wherein actuation of the actuation mechanism moves the wedge member from a distal position, in which a distal end of the wedge member maintains the first and second jaw portions in the spaced apart position, to a proximal position, in which the distal end of the wedge member is disposed proximally of the first and second jaw portions to allow the first and second jaw portions to close, wherein the wedge member includes a first slot formed therein configured and dimensioned to receive a second projection extending outwardly from the slider, the second projection being engagable with an end wall defined by the first slot in the wedge member to limit retraction of the slider in relation to the jaw assembly.

2. The apparatus of claim 1, wherein the driver includes a recess formed therein configured and dimensioned to receive a distal end of the slider.

3. The apparatus of claim 1, wherein the actuation mechanism includes a slot formed therein configured and dimensioned to receive a first projection extending outwardly from the slider, the first projection being movable within the slot to permit relative longitudinal movement between the actuation mechanism and the slider, and relative longitudinal movement between the actuation mechanism and the driver.

4. The apparatus of claim 3, wherein the first projection is located adjacent a proximal end of the slider.

5. The apparatus of claim 3, wherein the slot formed in the actuation mechanism defines a length permitting the actuation mechanism to move a predetermined longitudinal distance in relation to the driver while allowing the driver to remain in a fixed position.

6. The apparatus of claim 1, wherein retraction of the driver in relation to the jaw assembly is limited via engagement between the second projection and a pocket formed in the jaw assembly.

7. The apparatus of claim 1, wherein the second projection is located adjacent a distal end of the slider.

8. The apparatus of claim 1, further including a latch retractor connected to the slider to permit distal movement of the driver following proximal retraction of the wedge member.

9. The apparatus of claim 8, wherein the latch retractor is pivotable relative to the slider.

10. The apparatus of claim 8, wherein the latch retractor extends through a second slot formed in the wedge member.

11. The apparatus of claim 8, wherein the latch retractor is pivotable relative to the slider between a first position, in which distal movement of the actuation mechanism does not effect distal movement of the slider, and a second position, in which the latch retractor fixedly couples the slider to the actuation mechanism such that distal movement of the actuation mechanism effects distal movement of the slider.

12. The apparatus of claim 11, wherein the wedge member is configured to engage the latch retractor upon proximal movement of the wedge member to move the latch retractor from the first position to the second position.